|Title:||A 69-year-old man with excessive sweating of the right hemithorax||Authors:||Gil-Diaz, Aida
|UNESCO Clasification:||32 Ciencias médicas
3205 Medicina interna
|Issue Date:||2011||Journal:||BMJ Case Reports||Abstract:||The pure autonomic failure is a rare entity, with only a few cases reported in the literature. The authors describe a case with compensatory excessive sweating of the right hemithorax as an initial manifestation of a pure autonomic failure, and the authors review the clinical characteristics of this disease. A 69-year-old man presented excessive sweating of the right hemithorax. Physical examination revealed orthostatic hypotension. No other neurological features were present. The autonomic study showed a low heart rate response to the Valsalva maneuver and reduced supine plasma norepinephrine levels. A pure autonomic failure was diagnosed. Treatment did not improve patient’s symptoms. Anhidrosis with asymmetrical compensatory hyperhidrosis can be the only symptom of a pure autonomic failure. The authors highlight an unusual form of presentation of a rare disease, difficult to diagnose if it is not taken into consideration.||URI:||http://hdl.handle.net/10553/51018||ISSN:||0959-8138||DOI:||10.1136/bcr.03.2011.3970||Source:||BMJ case reports [0959-8138], 17 mayo 2011|
|Appears in Collections:||Artículo preliminar|
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